Active NPI
Internal Med & Nephrology Assoc Inc
- Specialist
- Tampa, FL
National Provider Identifier
1417944232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0057891
- Legal business name
- INTERNAL MED & NEPHROLOGY ASSOC INC
- Practice address
- 4710 N Habana Ave
Suite 300
Tampa, FL 33614-7161 - Phone
- (813) 890-8004
- Fax
- (813) 290-9691
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesus Navarro, MD
- Title
- Physician
- Phone
- (813) 873-1016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0057891 | FL | Primary |
Addresses
Primary practice location
4710 N Habana Ave
Suite 300
Tampa, FL 33614-7161
Mailing address
4710 N Habana Ave
Suite 300
Tampa, FL 33614-7161
Phone (813) 890-8004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373322000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
110 Patterson Rd
Haines City, FL 33844
Phone (863) 422-0800
4450 E Fletcher Ave
Ste D
Tampa, FL 33613
Phone (813) 632-8861
4710 N Habana Ave
Ste 300
Tampa, FL 33614
Phone (813) 873-1016
1602 N 21st St
Tampa, FL 33605
Phone (813) 247-5420
4553 Gunn Hwy
Tampa, FL 33624
Phone (813) 265-9733
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Tampa, FL
- NPI 1679688006
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1689393712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1417944232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 N HABANA AVE",
"address_2": "SUITE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147161",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 N HABANA AVE",
"address_2": "SUITE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147161",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MED & NEPHROLOGY ASSOC INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "NAVARRO",
"authorized_official_first_name": "JESUS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "813-873-1016",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0057891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373322000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Interface Consulting and Psychological Services, LLC
- Elizabeht Interian Rodriguez
- Interim Healthcare Gulf Coast, Inc.
- Internal Healthcare Group Inc
- Internal Healthcare Group LLC
- Internal Medicine & Pediatrics of Tampa Bay PA
- Internal Medicine Associates of North Tampa PA
- Internal Medicine Clinic
- Internal Medicine Clinic
- Internal Medicine of Tampa Bay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.